NPI | 1740812213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131167) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115808) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2023-08-13 |